• Induced or Stimulated: 대부분 별일없다.
• Spontaneous: 평가가 필요하다. 4-10%에서 악성

Serum prolactin, TSH (hypothyroidism)
phenothiazine, OCs,

1. Incomplete
2. Negative
3. Benign finding(s)
4. Probably benign
5. Suspicious abnormality
6. Highly suggestive of malignancy
7. Known biopsy – proven malignancy

• 1: Almost entirely fat
• 2: Scattered fibroglandular densities
• 3: Heterogeneously dense
• 4: Extremely dense

Mammography is not generally considered as an effective screening technique for women less than 50 years old. A systematic review by the American College of Physicians concluded that, for women 40 to 49 years of age, the risks of mammography outweighed the benefits,[8] and the US Preventive Services Task Force says that the evidence in favor of routine screening of women under the age of 50 is “weak”.[7] Part of the difficulty in interpreting mammograms in younger women stems from breast density. Radiographically, a dense breast has a preponderance of glandular tissue, and younger age or estrogen hormone replacement therapy contribute to mammographic breast density. After menopause, the breast glandular tissue gradually is replaced by fatty tissue, making mammographic interpretation much more accurate. Some authors speculate that part of the contribution of estrogen Hormone replacement therapy to breast cancer mortality arises from the issue of increased mammographic breast density.

팔로델 2.5mg bid for 2wks

Breast pain is any discomfort or pain in the breast.
Considerations
There are many possible causes for breast pain. For example, hormone level changes from menstruation or pregnancy often cause breast tenderness. Some amount of swelling and tenderness just before your period is normal.

Although many women who have pain in one or both breasts may fear breast cancer, breast pain is NOT a common symptom of cancer.

Causes
Some amount of breast tenderness is normal. The discomfort may be caused by hormonal changes due to:

Menopause (unless a woman is taking hormone replacement therapy)
Menstruation and premenstrual syndrome (PMS)
Pregnancy – breast tenderness tends to be more common during the first trimester and in women who become pregnant at a young age
Puberty in both girls and boys
Soon after childbirth, your breasts may become swollen with milk. This can be very painful. If you also have an area of redness, call your health care provider. Breastfeeding itself may also cause breast pain.

Fibrocystic breast changes are also a common cause of breast pain. Fibrocystic breast tissue contains lumps that tend to be more tender just before your menstrual period.

Certain medications may also cause breast pain, including digitalis preparations, methyldopa (Aldomet), spironolactone (Aldactone), certain diuretics, Anadrol, and chlorpromazine.

Shingles can lead to pain in the breast if the painful blistering rash appears on the skin over one of your breasts.

Home Care
If you have painful breasts, the following may help:

Take medication such as acetaminophen or ibuprofen
Use heat or ice on the breast
Wear a well-fitting bra that supports your breasts
Although some women believe that reducing the amount of fat, caffeine, or chocolate in their diet helps with their symptoms, there is no good evidence that this helps. Vitamine E, thiamine, magnesium, and evening primrose oil are not harmful, but in most studies they have not shown any benefit. Before taking any medication or supplement, be sure to talk with your health care provider.

Certain birth control pills may help relieve breast pain. Ask your health care provider if this therapy is right for you.

When to Contact a Medical Professional
Call your health care provider if you have:

Bloody or clear discharge from your nipple
Given birth within the last week and your breasts are swollen or hard
Noticed a new lump with the pain that does not go away after your menstrual period
Persistent, unexplained breast pain
Signs of a breast infection, including local redness, pus, or fever